Individual
MINGQUAN TONGBHAKDEE SUKSANONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1752 MLK JR ST N, ST PETERSBURG, FL 33704-4206
(727) 823-7224
(727) 489-9486
Mailing address
PO BOX 1945, PALM HARBOR, FL 34682-1945
(727) 771-1300
(727) 781-2300
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0031666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059830500
—
FL
01
—
160184600
WORK COMP
FL
01
—
52999
BCBS
FL
01
—
P00883306
RAILROAD MEDICARE
FL
Enumeration date
03/29/2006
Last updated
05/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us